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General NPI Number Information
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NPI Number | 1952242760
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Entity Type | Individual
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Provider Name | CAROLYN EGAN L.AC
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Gender | Female
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 18528 FIRLANDS WAY N
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City | SHORELINE
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State | WA
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Zip | 98133-3985
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Country | US
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Telephone | 206-629-5165
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Fax | 206-801-7365
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Provider Business Mailing Address
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Address Line | 16116 ASH WAY APT 109
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City | LYNNWOOD
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State | WA
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Zip | 98087-8775
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC61648011
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License Number State | WA
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